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Deliberate manipulation? How did the national debate on hormone therapy end, when we don't have the medication in hospitals?

2026-05-29 15:56:40Aktualitet SHKRUAR NGA REDAKSIA VOX

Deliberate manipulation? How did the national debate on hormone therapy end,

Deputy Minister of Health, Eugena Tomini, came out this Friday in defense of the guidelines for hormone therapy, following the strong controversy that has accompanied the document approved by the Ministry of Health.

According to her, the document is a clinical guideline and not a definitive therapeutic protocol. Tomini emphasized that it was drafted based on international practices, does not recommend starting treatment in childhood and does not establish a reimbursement scheme for hormonal medications.

However, public debate has been heated since the publication of the document, which paves the way for the provision of hormonal therapy for transgender people in the public health system and provides for the possibility of treatment for adolescents over 16 years of age in certain cases.

Opponents of the guideline have focused their reaction almost entirely on the gender aspect of the issue, turning the debate into an ideological clash over gender identity, the role of the state, and the limits of medical intervention.

But this is precisely where another question arises. At a time when the Albanian healthcare system is facing a shortage of doctors, massive staff turnover, lack of medicines, waiting lists and ongoing problems in public hospitals, how did the national debate on hormone therapy end?

The backlash against the guide has focused almost entirely on the gender dimension of the issue. But that may be the biggest victory of this debate.

In the conditions of Albanian healthcare, where even the most basic services and elements are often lacking, hormone therapy is an ideal "forbidden apple" to spark debate, produce ideological clashes, and attract public attention.

While the parties clash over gender identity and hormonal therapies, the chronic problems of the system remain out of focus: the lack of doctors, staff departures, hospital shortages, and the daily difficulties of patients.

In the end, this debate may be remembered more for the noise it created than for any solutions it brought to Albanian healthcare. ( VNA.al )


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